Contract Details
Facility name
Thuss Medical Center
Provider ID
P000002474
NPI
1962533414
Tax ID
631228071
Effective Date
12/1/2003
Last Updated
9/11/2013
Direct Contract
Yes
Term Date
1/1/2008
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2124 4th Avenue South
Birmingham, AL 35233
United States
County
Jefferson
Phone
2059458185 (Phone)
Billing Details
Address
Specialty Type
General Practice
Map
Address